SUBSIDIZED SENIOR HOUSING IN THE U.S.: A SCOPING REVIEW

Abstract Although Subsidized Senior Housing (SSH) has been considered an important model to promote healthy aging among vulnerable subgroups of older adults, progress in developing, expanding, and improving SSH has been limited compared to other housing models. A comprehensive review of the recent knowledge base is a critical step toward developing and expanding policies and programs for senior housing for low-income older adults. This scoping review used a five-stage scoping review methodology to answer two research questions: 1) What are the trends in SSH empirical studies? 2) What are the main topics in the existing literature on SSH in the US? This review explores the social, physical, and service environments related to SSH in older adults in the US. Personal and environmental factors were key in examining study outcomes or main focus. We reviewed a total of 61 articles and found several notable trends, including a focus on racial and ethnic minorities, cognitive impairment among SSH residents, and Collaborative partnerships between housing operators and healthcare providers. More than half of the studies (54%) were quantitative, while the rest were qualitative (38%) or mixed-methods (8%). The lack of longitudinal or causal design research reflects the limited empirical knowledge of SSH. Four themes emerged: health and well-being (52.5%), healthcare use and health behaviors (31.1%), social relations (8.2%), and housing relocation (8.2%). We discussed implications for future research and program development efforts in SSH. Future research should explore the fit between individual characteristics and the multiple-factor environmental context.

71.8% perceived themselves to have normal cognition.After covariate adjustments, there were significant main and interaction effects of SCD and age on mnemonic discrimination performance on the Mnemonic Similarity Task (MST) but not on other memory outcomes.The negative relationship between age and mnemonic discrimination was evident in middle-aged adults who self-report cognitive concerns but not in those without such concerns.Since mnemonic discrimination is highly sensitive to hippocampal function, these findings support the utility of the MST to detect age-related hippocampal changes and ensuing memory declines in midlife as well as the importance of early interventions among middle-aged adults with SCD to prevent AD.

SUBJECTIVE SOCIAL STATUS AND DEPRESSION AMONG KOREAN OLDER ADULTS: FORMAL SOCIAL ACTIVITIES AS MEDIATOR
Junmin Park, and Yeonjung Lee, Chung-Ang University, Seoul, Republic of Korea Previous studies have examined an association between depression and socioeconomic factors such as education, economic status, and social support among older adults.It is widely acknowledged that socioeconomic status (SES) plays a pivotal role in the manifestation of depression.However, subjective social status (SSS) representing the subjective perception of the accumulation of life experiences and the associated overall deprivation may hold even greater importance in older adults.Especially, statistics in Korea shows that most people are likely to consider themselves in middle class regardless of their objective financial status.Therefore, the objective of this study is to examine whether subjective social status is associated with depression in later life as well as how participation in formal social activities (i.e., religion/social gathering, leisure/cultural/sport activity, reunion/hometown alumni, volunteering, party/civil society organization/advocacy group) mediate this association.Multiple regression analyses and Baron & Kenny (1986) analytical approach were applied using a panel data from the 2020 Korean Longitudinal Study of Ageing.Selected sample include those who are aged 65 and older (n= 4,405).Results show that there is a negative association between SSS and depression.SSS was positively associated with formal social activities.Additionally, formal social activities have significant impact on mitigating depression.Participation in formal social activities partially mediates the relationship between the SSS and depression.Findings have implications for promoting an opportunity for older adults to participate in some formal types of social participation.Furthermore, additional research investigating the factors that can augment SSS should be warranted.
Although Subsidized Senior Housing (SSH) has been considered an important model to promote healthy aging among vulnerable subgroups of older adults, progress in developing, expanding, and improving SSH has been limited compared to other housing models.A comprehensive review of the recent knowledge base is a critical step toward developing and expanding policies and programs for senior housing for low-income older adults.This scoping review used a fivestage scoping review methodology to answer two research questions: 1) What are the trends in SSH empirical studies?2) What are the main topics in the existing literature on SSH in the US?This review explores the social, physical, and service environments related to SSH in older adults in the US.Personal and environmental factors were key in examining study outcomes or main focus.We reviewed a total of 61 articles and found several notable trends, including a focus on racial and ethnic minorities, cognitive impairment among SSH residents, and Collaborative partnerships between housing operators and healthcare providers.More than half of the studies (54%) were quantitative, while the rest were qualitative (38%) or mixed-methods (8%).The lack of longitudinal or causal design research reflects the limited empirical knowledge of SSH.Four themes emerged: health and well-being (52.5%), healthcare use and health behaviors (31.1%), social relations (8.2%), and housing relocation (8.2%).We discussed implications for future research and program development efforts in SSH.Future research should explore the fit between individual characteristics and the multiple-factor environmental context.Work demands of the care team, time constraints, and a lack of guidance from the regulatory environment often result in short, perfunctory mandated quarterly care conferences (e.g., care plan meetings) that lack focus on resident preferences.Me & My Wishes is a video recording approach for documenting, viewing, listening, and discussing nursing home (NH) residents' living with dementia preferences for daily and end-of-life in care conferences.As part of a study adapting Me & My Wishes for remote delivery, we used a qualitative descriptive design to conduct focus groups (February -June 2023) with experts representing persons living with dementia (PLWD) (n=6), informal care partners (CPs) (n=8), and NH staff (n=9) to inform us of what comprises a successful care conference.We coded and analyzed audio-recorded transcripts, resolved coding discrepancies in team meetings, and derived domains from finalized codes.All groups discussed three primary domains characterizing a successful care conference: 1) resident-engagement; 2) key staff and CPs identified and engaged to support the resident perspective; and 3) structured meetings led by trained facilitators for resident-centered discussion and problem-solving.NH Experts noted that a facilitator who anticipates and mitigates potential barriers (e.g., conflicting discourse) is key for a successful care plan meeting.PLWD identified providing technology assistance for the resident and CPs as important.Care conferences that allow virtual attendance of staff and CPs who know the resident well, are resident-driven, and are well organized can facilitate communication and problem solving resulting in improved resident-centered care.

SUCCESSFUL METHODS FOR ELICITING VIEWS OF DIRECT CARE WORKERS REGARDING NEEDS AND PREFERENCES OF HOME CARE CLIENTS
Joan Hyde, and Alanna Frost, University of Massachusetts, Boston, Massachusetts, United States Over the past decades, as the recruitment and retention of Direct Care Workers (DCWs) has become a critical issue, numerous studies have sought to elicit workers' views, particularly on job satisfaction, stressors, and intent to stay.This project, which includes a review of those studies, uncovered a wide variety of methods and approaches, which we are evaluating for use in future studies that would capture direct care worker's insights regarding the needs and preferences of the people for whom they provide support.In particular, this project, in conjunction with a larger one designed to assess dually-eligible care recipients' experiences with formal home care, explores methodologies best suited to capturing the congruence of DCWs' views with those of recipients' needs and preferences.It would test the hypothesis that DCWs' assessments may supplement recipients' insights, and may strengthen advocacy to improve home care access, policies and practices.The presentation will offer a systematic review of methods and instruments, including use of validated tools and those with face validity that addresses culturally relevant factors, as well as the use of focused and hypothesis-generating open-ended interviews that are sensitive to the power relationships and voices of those participants in the endeavor.The presenters will offer potentially innovative practices, such as observation, documentation analysis, and the use of Delphi techniques which draw on the knowledge and expertise of DCWs.The presentation will also draw on studies that utilized technology and social media to reach and engage this study population.

SUPPORTING CHINESE FAMILY CAREGIVERS OF RELATIVES WITH DEMENTIA--A PILOT INTERVENTION STUDY IN SHANGHAI Ethan
Liu 1 , Xinyu Zhang 2 , Jiahui Huang 2 , Ansar Ayrat 2 , Qiuling An 2 , Fei Sun 3 , and Xuehan Zhang 3 , 1. Phillips Effective interventions are urgently needed to assist dementia family caregivers in China, where limited formal support and services are available.This pilot study aims to test a psychoeducational program that consists of information, skills training, and the use of binaural sound through the Processing Inner Strength toward Actualization Therapy (PISTA) device to alleviate caregiver burden and improve mental health outcomes.Methods: Single subject design approach was used.Eight dementia family caregivers in Shanghai, China, were recruited and received a two-stage intervention over 12 weeks: Stage 1 (S1, Six 90-minute weekly sessions: Psychosocial education programs +PISTA) and Stage 2 (S2, Six 90-minute weekly sessions: Psychosocial